Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $72.79 / $124.31	Professional		$44.81	$72.79	$124.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $65.20 / $120.41	Professional		$55.42	$65.20	$120.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $69.26 / $120.41	Professional		$65.20	$69.26	$120.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $131.94 / $137.88	Facility		$40.04	$131.94	$137.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $78.16 / $120.41	Professional		$42.41	$78.16	$120.41
United Facility/Professional Facility Modifier Low / Median / High Price $92.35 / $92.35 / $92.35	Facility		$92.35	$92.35	$92.35
United Facility/Professional Professional Modifier Low / Median / High Price $103.53 / $121.20 / $209.06	Professional		$103.53	$121.20	$209.06